Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS
Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics...
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Published in | Social science & medicine (1982) Vol. 55; no. 1; pp. 97 - 111 |
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Main Authors | , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
Oxford
Elsevier Ltd
01.07.2002
Elsevier Pergamon Press Inc |
Series | Social Science & Medicine |
Subjects | |
Online Access | Get full text |
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Abstract | Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10
min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10
min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIS as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated. |
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AbstractList | Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia in the UK. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, but routes and community transport services, and a geographical information system was used to calculate measures of accessibility to surgeries by public and private transport. Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk, and Suffolk). Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. (Original abstract - amended) Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk, & Suffolk) in the UK. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes, & community transport services, & a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public & private transport. Outcome measures included car travel times & indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes & then compared with socioeconomic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10 minutes to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10 minutes & there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility & the highest health needs indicators were found in the places with no daytime bus service each weekday & no community transport. The overall extent of accessibility problems & the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers & GIS as research & planning tools, though the practical difficulties of using these data sources & techniques should not be underestimated. 3 Tables, 8 Figures, 40 References. Adapted from the source document. Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10 min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10 min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIS as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated. Research using Geographical Information System. [(BNI unique abstract)] 40 references Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10Â min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10Â min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIS as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated. Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10 min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10 min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIS as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated. |
Author | Sünnenberg, Gisela Lovett, Andrew Gale, Susan Haynes, Robin |
Author_xml | – sequence: 1 givenname: Andrew surname: Lovett fullname: Lovett, Andrew email: a.lovett@uea.ac.uk organization: School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ, UK – sequence: 2 givenname: Robin surname: Haynes fullname: Haynes, Robin organization: School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ, UK – sequence: 3 givenname: Gisela surname: Sünnenberg fullname: Sünnenberg, Gisela organization: School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ, UK – sequence: 4 givenname: Susan surname: Gale fullname: Gale, Susan organization: School of Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK |
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Snippet | Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United... Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia in the UK. Information from patient registers was... Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk, and Suffolk). Information... Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk, & Suffolk) in the UK.... Research using Geographical Information System. [(BNI unique abstract)] 40 references |
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SubjectTerms | Access Accessibility Accessibility Bus services GIS GP services Patient registers Rural deprivation UK Analysis. Health state Automobiles Biological and medical sciences Bus services Buses Catchment Area (Health) East Anglia England Epidemiology Family Practice General aspects General practice Geographic information systems Geography GIS GP services Health care access Health Services Accessibility - classification Health Services Accessibility - statistics & numerical data Humans Information Systems Location Medical sciences Motor cars Needs Assessment Patient registers Patients Primary Health Care Public health. Hygiene Public health. Hygiene-occupational medicine Public Transportation Registries Rural deprivation Rural health care Rural Population Small-Area Analysis Socioeconomic Factors Spatial Analysis Surgery Time Transport Transportation |
Title | Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS |
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